Dr Sushanth Raghu Boda, DO - Medicare Anesthesiology in Stockbridge, GA

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Dr Sushanth Raghu Boda, DO is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Stockbridge, Georgia. His current practice location is 1365 Rock Quarry Rd Ste 202, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 771-6580.

Dr Sushanth Raghu Boda is licensed to practice in Georgia (license number 92204) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780114975.

Contact Information

Dr Sushanth Raghu Boda, DO
1365 Rock Quarry Rd Ste 202,
Stockbridge, GA 30281-5023
(770) 771-6580
(770) 771-6589

Map and Direction




Physician's Profile

Full NameDr Sushanth Raghu Boda
GenderMale
SpecialityAnesthesiology - Pain Medicine
Location1365 Rock Quarry Rd Ste 202, Stockbridge, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780114975
  • Provider Enumeration Date: 06/19/2017
  • Last Update Date: 02/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274883814
  • Enrollment ID: I20220912003840

Medical Identifiers

Medical identifiers for Dr Sushanth Raghu Boda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780114975NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 271781 (Massachusetts)Secondary
207L00000XAnesthesiology 125071636 (Illinois)Secondary
207LP2900XAnesthesiology - Pain Medicine 92204 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sushanth Raghu Boda allows following entities to bill medicare on his behalf.
Entity NamePain Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265607626
PECOS PAC ID: 0244395689
Enrollment ID: O20090218000234
Entity NameSouthern Pain And Spine Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336744770
PECOS PAC ID: 7517370299
Enrollment ID: O20210120000336
Entity NameNortheast Georgia Surgery Center
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1265037600
PECOS PAC ID: 4284027962
Enrollment ID: O20220201001128
Entity NameJasper Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1730842311
PECOS PAC ID: 6709254964
Enrollment ID: O20221118000413
Entity NameNewnan Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1740953447
PECOS PAC ID: 8527428812
Enrollment ID: O20230718003501
Entity NameAthens Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1467140327
PECOS PAC ID: 7113380759
Enrollment ID: O20230829003502

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sushanth Raghu Boda is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sushanth Raghu Boda, DO
1365 Rock Quarry Rd Ste 202,
Stockbridge, GA 30281-5023

Ph: (770) 771-6580		Dr Sushanth Raghu Boda, DO
1365 Rock Quarry Rd Ste 202,
Stockbridge, GA 30281-5023

Ph: (770) 771-6580

Reviews and Comments


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Jerell R Brown, MD
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Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 770-389-2200    Fax: 770-389-1124

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.